Evidence map›Paper›PMID 32817593›Full record

Trial reportThe Journal of clinical investigation2020

Mass cytometry detects H3.3K27M-specific vaccine responses in diffuse midline glioma.

Sabine Mueller, Jared M Taitt, Javier E Villanueva-Meyer, Erin R Bonner, Takahide Nejo, Rishi R Lulla, Stewart Goldman, Anu Banerjee, Susan N Chi, Nicholas S Whipple and 13 more

Erratum issued Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02960230 (H3.3K27M Specific Peptide Vaccine Combined With Poly-ICLC With and Without PD-1 Inhibition Using Nivolumab for the Treatment of Newly Diagnosed HLA-A2), which is not on this map. Cited by 89 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 3 pooled it
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02960230 phase1 / phase2completednot on this map

H3.3K27M Specific Peptide Vaccine Combined With Poly-ICLC With and Without PD-1 Inhibition Using Nivolumab for the Treatment of Newly Diagnosed HLA-A2 (02:01)+ H3.3K27M Positive Diffuse Intrinsic Pontine Glioma (DIPG) and Newly Diagnosed HLA-A2 (02:01)+ H3.3K27M Positive Gliomas

TypeinterventionalSponsorSabine Mueller, MD, PhDRan2016 to 2023Enrolled50ConditionsDiffuse Intrinsic Pontine Glioma, Glioma, Diffuse Midline Glioma, H3 K27M-MutantArmsK27M peptide, Nivolumab
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 3 syntheses or guidelines pooled it, 116 citations in OpenAlex.

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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 13 institutions in 2 countries.

Sabine MuellerDepartment of Neurology.
Jared M TaittDepartment of Neurosurgery and.
Javier E Villanueva-MeyerDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, California, USA.
Erin R BonnerChildren's National Medical Center, Washington, DC, USA.
Takahide NejoDepartment of Neurosurgery and.
Rishi R LullaDivision of Pediatric Hematology/Oncology, Hasbro Children's Hospital, Department of Pediatrics, The Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Stewart GoldmanAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Anu BanerjeeDepartment of Neurosurgery and.
Susan N ChiDana-Farber Cancer Institute, Boston, Massachusetts, USA.
Nicholas S WhippleDivision of Hematology/Oncology, Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA.
John R CrawfordDepartment of Neurosciences and Pediatrics, UCSD and Rady Children's Hospital, San Diego, California, USA.
Karen GauvainSt. Louis Children's Hospital, Washington University in St. Louis, St. Louis, Missouri, USA.
Kellie J NazemiDoernbecher Children's Hospital, Oregon Health & Science University, Portland, Oregon, USA.
Payal B WatchmakerDepartment of Neurosurgery and.
Neil D AlmeidaThe George Washington University School of Medicine and Health Sciences, The George Washington University, Washington, District of Columbia, USA.
Kaori OkadaDepartment of Neurosurgery and.
Andres M SalazarOncovir Inc., Washington, DC, USA.
Ryan D GilbertDepartment of Neurosurgery and.
Javad NazarianChildren's University Hospital Zurich, Switzerland.
Annette M MolinaroDepartment of Neurosurgery and.
Lisa H ButterfieldParker Institute for Cancer Immunotherapy, San Francisco, California, USA.
Michael D PradosDepartment of Neurosurgery and.
Hideho OkadaDepartment of Neurosurgery and.
University of California, San Francisco · USChildren's National · USDana-Farber Cancer Institute · USGeorge Washington University · USHasbro Children's Hospital · USLurie Children's Hospital · USOncovir (United States) · USOregon Health & Science University · USParker Institute for Cancer Immunotherapy · USRady Children's Hospital-San Diego · USSt. Louis Children's Hospital · USUniversity Children's Hospital Zurich · CHUniversity of Utah · US

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD · 1988 to 2026
$158.0M
Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VAISSE, CHRISTIAN · 2003 to 2019
$21.8M
Preclinical development of breakthrough immunotherapy for brain tumorsR35NS105068 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI OKADA, HIDEHO · 2018 to 2025
$6.0M
UCSF DVS CyTOF Mass CytometerS10OD018040 · OD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LANIER, LEWIS LEE · 2014 to 2014
$600k
NCI NIH HHS P30 CA047904NIDDK NIH HHS P30 DK063720NIH HHS S10 OD018040NINDS NIH HHS R35 NS105068
6 · The paper itself

Abstract

BACKGROUNDPatients with diffuse midline gliomas (DMGs), including diffuse intrinsic pontine glioma (DIPG), have dismal outcomes. We previously described the H3.3K27M mutation as a shared neoantigen in HLA-A*02.01+, H3.3K27M+ DMGs. Within the Pacific Pediatric Neuro-Oncology Consortium, we assessed the safety and efficacy of an H3.3K27M-targeted peptide vaccine.METHODSNewly diagnosed patients, aged 3-21 years, with HLA-A*02.01+ and H3.3K27M+ status were enrolled in stratum A (DIPG) or stratum B (nonpontine DMG). Vaccine was administered in combination with polyinosinic-polycytidylic acid-poly-I-lysine carboxymethylcellulose (poly-ICLC) every 3 weeks for 8 cycles, followed by once every 6 weeks. Immunomonitoring and imaging were performed every 3 months. Imaging was centrally reviewed. Immunological responses were assessed in PBMCs using mass cytometry.RESULTSA total of 19 patients were enrolled in stratum A (median age,11 years) and 10 in stratum B (median age, 13 years). There were no grade-4 treatment-related adverse events (TRAEs). Injection site reaction was the most commonly reported TRAE. Overall survival (OS) at 12 months was 40% (95% CI, 22%-73%) for patients in stratum A and 39% (95% CI, 16%-93%) for patients in stratum B. The median OS was 16.1 months for patients who had an expansion of H3.3K27M-reactive CD8+ T cells compared with 9.8 months for their counterparts (P = 0.05). Patients with DIPG with below-median baseline levels of myeloid-derived suppressor cells had prolonged OS compared with their counterparts (P < 0.01). Immediate pretreatment dexamethasone administration was inversely associated with H3.3K27M-reactive CD8+ T cell responses.CONCLUSIONAdministration of the H3.3K27M-specific vaccine was well tolerated. Patients with H3.3K27M-specific CD8+ immunological responses demonstrated prolonged OS compared with nonresponders.TRIAL REGISTRATIONClinicalTrials.gov NCT02960230.FUNDINGThe V Foundation, the Pacific Pediatric Neuro-Oncology Consortium Foundation, the Pediatric Brain Tumor Foundation, the Mithil Prasad Foundation, the MCJ Amelior Foundation, the Anne and Jason Farber Foundation, Will Power Research Fund Inc., the Isabella Kerr Molina Foundation, the Parker Institute for Cancer Immunotherapy, and the National Institute of Neurological Disorders and Stroke (NINDS), NIH (R35NS105068).

Indexed as

Brain Stem NeoplasmsCancer VaccinesFlow CytometryGliomaHistonesMutation, MissenseNeoplasm ProteinsAdolescentAdultAmino Acid SubstitutionCD8-Positive T-LymphocytesChildChild, PreschoolFemaleHumansImmunity, CellularCancer VaccinesHistonesNeoplasm ProteinsBrain cancerCancer immunotherapyImmunologyOncology

Identifiers

PMID32817593
PMCPMC7685729
OpenAlexW3080466473

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.